HomeMy WebLinkAboutBuilding Permit Application TO BE ACCEFrED /
Date:
Permit Number:
COEt?
Building Permit Application
' . r • . Development ices
Building r . Code Regula
/! Vii, InIct Avenue,Fort e FL 34982
Phone:' F72)462-1553 x:(772)462-1$78 cc) Residential
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DESIGN,R/ENGINEER- I Not Applicable I�TGA,GE COMPANY: _Not Applicable
Name: r N me _
Add res;
: A dress:
City: >I State' C4' _ State'
Zip: Phone;:--- _ Zi Phone:
FEE 5! LEI-TITLE HOLDER: _•„Not Applicable B NDING COMPANY: Not Applicable
Name: Il:� :i N nm e:
Addres' ' A dress _
City= Ci y:
Zip: Phonefj ZI Phone:
itII
icertifyI11 t no work or instaElatlon has commenced prior to the Issui lce of a permit.
5t.Lucie unttyy makes no rcP'`ese%r1Mlon that is granting a permit w11 authorize the permit holder to build the subject structure
which is i onflict with any a plica Home owners Assot,at�on rule bylaws or and covenants that may restrict or prohibit such
structure lease consult w7thour Home Owners Association and revs w your deed for any restrictions which may apply.
In consid r• tion of the granti of this req'nested permit,I do hereby roe that i will,In all respects,perform the work
In accord T
ce with the approuid plans,the Florida Building Codes and St.Lucle County Amendments.
The follo g building permit ppiications'are exempt from undergoin a full concurrency review:room additions,:
accessoryaures,swlmmlt�g pools,fences,walls,signs,screen roe s and accessory uses to another non-residential use
WARNIII TO OWNER]Ypur failure`to Record a Notice of Co mertcemem may result in your paying twice for
improved ents to you(prQperty,A NotiCe•of Commencem nt must be recorded and posted on the jobsite
before t ' first Inspect{oq. If you intend to obtain financin ,consult with lender or an attorney before
commet Ing work or recorclLng your Notice of Commencerhent_
Signature c f owner/Agen Lessee Signature of Contractor/license Aolder
i
STATE FLORIDA ST TE OF FLORIDA Q�
COLIN F • COLINTY OF 1"L�n ,
Th g, iI g in n as acknowledge ore me The oing instr e t se knowledge fare me
trgs7q 1.E ay of 20 by t say of 20 y
cip
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(Name, f 311 a noW[e g (Na e q on ackWoMigint)
(Signatureof Not Publ' Silate Florid ) (Sig iature o otary Public-Ste ride of FI )
Personals nown___-__ `. OR P oduce dentification Personally Known _V/ OR Produced Identification
Type of Id tification Produce' Type of Identification Produced
Commission No (Seall Corr mission No
�• • CRYSTAL MARIE CRUZADO ,yet`_ CRYSTAL MARIE
MY CIOMMR5310NIN 1110974631
87483
Revise 7/15/201 ', DARES June 25,2018 '. � June 26, 018
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REVIEW FRONT- ZONING SUPERVISOR PUNS VEGETATION SEA TURTLE '. MANGROVE
COUNTER REVIEW REVIEW REV EW RMEWREVIEW REVIEW
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